STP Update West Midlands 05/05/2016

Transcription

1 STP Update West Midlands 05/05/2016

2 What are STPs? The NHS Shared Planning Guidance asked every local health and care system in England to come together to create their own ambitious local plan for accelerating the implementation of the Five Year Forward View (5YFV). These local plans, called Sustainability and Transformation Plans (STPs), will be place-based, multi-year plans built around the needs of local populations. STPs must cover all areas of CCG and NHS England (NHSE) commissioned activity including: specialised services; primary care; local authority services including prevention and social care and reflecting local health and wellbeing strategies. 44 STP footprint areas have been agreed that will bring local health and care leaders, organisations and communities together. Footprints now have confirmed leaders in place, who will be responsible for overseeing and coordinating the STP process locally.

3 Vanguards Leading on new care models Prime Minister s GP Access Fund Improving access to GP and primary care services CEPNs Community Education Provider Networks 5YFV Oct 2014: Five Year Forward View; shared vision for future of NHS based around new ways of working UECNs Urgent and Emergency Care Networks Sustainability and Transformation Plans (STPs) Dec 2015: place-based, multi-year planning based on local population need Trusts Primary Care CCGs Local Authority PIV NHS England Health Education England NHS Improvement Public Health England Care Quality Commission National Institute for Health and Care Excellence Local Workforce Action Boards (LWABs) Health and Wellbeing Boards Other local advisory groups

4 West Midlands STP areas Coventry and Warwickshire STP lead: Andy Hardy, Chief Executive, University Hospitals Coventry and Warwickshire NHS Trust Workforce lead: Karen Martin, Chief Workforce and Information Officer, University Hospitals Coventry and Warwickshire NHS Trust Herefordshire and Worcestershire STP lead: Sarah Dugan, Chief Executive, Worcestershire Health and Care NHS Trust Workforce lead: Frances Martin Birmingham and Solihull STP lead: Mark Rogers, CEO, Birmingham City Council Workforce lead: Tracy Taylor, Chief Executive, Birmingham Community Healthcare NHS Trust Black Country STP lead: Andy Williams, Accountable Officer, Sandwell CCG Workforce lead: tbc Shropshire and Telford and Wrekin STP lead: Simon Wright, Chief Executive, Shrewsbury and Telford Hospital NHS Trust Workforce lead: Victoria Maher, Director of HR, Shrewsbury and Telford Hospital NHS Trust Staffordshire STP lead: John MacDonald, Chair, University Hospitals of North Midlands NHS Trust Workforce lead: Caroline Donovan, Chief Executive, North Staffordshire Combined Healthcare NHS Trust

5 HEE s role in STPs Health Education England (HEE) has agreed that they will establish Local Workforce Action Boards (LWABs) to coordinate and support the workforce requirements for each STP footprint: LWABs will have a line of accountability to the national Workforce Advisory Board (WAB) Each LWAB will be co-chaired by a senior member of HEE staff and a CEO within the STP footprint Membership will be drawn from health and social care organisations within the STP LWABs will act as delivery groups alongside other relevant enabling functions within the STP governance arrangements LWABs will be able to access transformation resources from HEE and the 5YFV Transformation Fund through the regional Arms Length Body (ALB) set up, as well as any local financial or in kind support available from stakeholders locally National Workforce Advisory Board (WAB) Implementing 5YFV vision ALB and social care membership Focused system-wide action around four priorities: workforce challenges for here and now e.g. GPs, nursing, paramedics Transforming the Mental Health and Learning Disability workforce Primary and Community Care workforce Disseminating best practice Collaborative approach on GP ten point plan; on nursing supply, taskforce implementation groups The national principles for how LWABs will operate has yet to be finalised but it is expected to take on a wider role around workforce. In the West Midlands the LWAB footprints are yet to be agreed. The six Arms Length Bodies (NHSE, NHSI, HEE, CQC, PHE and NICE) have agreed to work to a structure of 4 regions broadly aligning to HEE s geographies: North, Midlands & East, London and South. HEE is now looking at what work is best done at which level.

6 West Midlands STPs mapped to LETCs Footprints of the LWABs are still to be agreed.

7 How LWABs relate to LETBs The LETB (Local Education and Training Board) committee remains responsible for providing advice to the Board of HEE on the planning and commissioning of the future NHS workforce. The local offices of HEE will support both LETBs and LWAB(s), thereby ensuring an integrated view of future and current workforce is maintained. LETBs will take full account of LWAB and STP decisions when delivering their own responsibilities and advising the relevant HEE Directors and the HEE Board. HEE s LETBs are statutory committees of HEE s Board with defined advisory functions around education, training and workforce planning for future workforce supply. LWABs will have a broader scope, extending beyond the core functions of LETBs. LWABs will develop solutions for STPs across current and future workforce related activity so that the people elements of the 5 year service strategy can be identified and delivered.

8 Elements to deliver workforce transformation Workforce Information, Planning and Intelligence Leadership, Culture and Organisational Development Education and Training Development Workforce Transformation

9 What will LWABs do? LWABs will lead the workforce strand of STPs, agreeing system wide workforce changes and ensuring collective delivery of: Workforce transformation initiatives, covering: Up-skilling: safety and sustainability of care through transition, as well as a more holistic and agile approach and Making Every Contact Count (MECC) New roles: this is distinct from enhanced competencies e.g. Physician s Associates New Ways of Working: a collective leadership culture, improved flexibility and a workforce which embraces research and innovation Supply: to include return to practice and career development Strategic HR issues: Effective management of the paybill e.g. reduction of agency costs, etc. International Recruitment Develop new apprenticeship frameworks

10 LWAB Initial Priorities LWABs will deliver 4 key pieces of work by 30 June 2016: A comprehensive baseline of the NHS and social care workforce within the STP footprint and an overarching assessment of the key issues that the relevant labour markets(s) present. This will describe the workforce case for change. A scenario based, high level workforce strategy that sets out the workforce implications of the STP s ambitions in terms of numbers and skills, including leadership development. A workforce transformation plan focused on what is needed to deliver the service ambitions set out in the STP. An action plan that proposes the necessary investment in workforce required to support STP delivery, identifying sources of funds to enable its implementation.

11 LWAB Development When the leadership of each STP is confirmed, HEE s local Directors will work with that team to establish each LWAB, in consultation with the HEE Regional Director and this will then be signed off by the HEE Executive. by 30 June Development of the HEE support offer will be completed in line with the LWABs being formally launched. from July ongoing Beyond June 2016, at which time it is anticipated that all STPs will have been submitted and the implementation phase begins, LWABs will oversee implementation and retain ongoing responsibility for strategic workforce activity arising out the STP. The ongoing role of LWABs is to support implementation of STPs. This will be reviewed by the HEE Board as part of its governance arrangements throughout 2016/17.

12 Midlands and East Offer Current Work in the West Midlands Support available to the STP process across the West Midlands includes: A system workforce planning offer through the Integrated Care Transformation Theme; A system leadership offer; A Workforce Planning within a System Planning context resource (currently in development); Updating the Recipe for Workforce Planning to reflect changes to the system (currently in development). The five West Midlands Transformation Themes, established in April 2015, feed into the STP priority areas. The five Transformation Themes are: Integrated Care; Leadership; Mental Health & Learning Disabilities; Primary & Community Care; Urgent & Acute including Emergency Medicine. Work under development across Midlands and East Work is being undertaken by HEE across the Midlands and East geography to produce a consistent offer in support of the Sustainability and Transformation Footprints including: A clear framework to structure the offer; Workshops and meetings to share best practice across the geography; Development of a dashboard showing aggregated workforce information at STP level; Compilation of a Resource Directory of tools, processes, case studies etc. which offer further support to the STP process.

13 Expected Assessment of STP submissions Expectations of the 30 June STP submission include: Evidence of footprint-wide workforce planning analysis and assessment, using an explicit structured workforce planning process such as the Skills for Health Six Steps Methodology; Local assessment of and commitment to addressing key workforce issues; Ownership of the workforce plan by the core STP planning team, which may include evidence of assessment of workforce redesign capacity within the system itself, as well as that available from support agencies including HEE and NHSI; Assessment of current local shortage issues sufficient to drive immediate collective action on demand or supply in 16/17 and as a consequence reduced agency usage; Evidence that the STP assessment of future workforce implications of service models is consistent with delivery of all three 5YFV goals, including affordability within known assumptions on various cost pressures.

14 Timeline - STP What Who When Further engagement and support on gap National bodies Week commencing 29 February 2016 analysis and STP development Gap analysis / data developed with each footprint National bodies / Regional Directors / footprints Throughout March 2016 Short return, including priorities, gap analysis and governance arrangements Each footprint 11 April 2016 Outline STPs presented Footprints to attend regional events to discuss emerging plans with peers and national bodies w/c 22 April 2016 Each footprint area to develop plans and build support with their boards and partners As set out in local governance arrangements During April/May/early June 2016 Ongoing engagement and support from national policy experts and teams to support priority development National policy teams and experts During April and May 2016 Each footprint to submit their STP Series of regional conversations between national teams and footprints To Regional Directors and then the 5YFV Board of national body Chief Executives The NHS national body Chief Executives, National Directors, partners and footprints 30 June 2016 Throughout July 2016

15 Contacts Work Area Name & Role Contact Coventry and Warwickshire STP Herefordshire and Worcestershire STP Birmingham and Solihull STP Black Country STP Shropshire and Telford and Wrekin STP Staffordshire STP Catherine Sills, Workforce Development Specialist Stuart Baird, Workforce Development Specialist Della Burgess, Workforce Development Specialist Heather Pitchford, Workforce Development Specialist Integrated Care Transformation Theme Sarah Copley, LETC Lead Primary and Community Care Transformation Theme Karen Storey, Primary Care Lead Nurse - Workforce Karen.Storey@wm.hee.nhs.uk Leadership Transformation Theme Lucille Legiewicz, Programme Manager Lucille.Legiewicz@wm.hee.nhs.uk Mental Health Transformation Theme Urgent, Acute and Emergency Medicine Transformation Theme Chris Malvern, Workforce Development Specialist Matt Aiello, Programme Manager Christopher.Malvern@wm.hee.nhs.uk Matthew.Aiello@wm.hee.nhs.uk

16 Updates Further information/ clarity expected after the following meetings, the team will keep the slide deck up to date: Midlands and East STP Leads meeting- 5 th May Midlands and East Executive Team meeting- 5 th May STP Executive meeting- 11 th May Midlands and East Transformation event- 13 th May HEE Board- 17 th May